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Advantages of Laparoscopic Repair of Incisional Hernia
General Surgery / Jul 31st, 2016 11:44 am     A+ | a-

Hernia repair should be applied through a number of procedures. The operation includes the use of surgical mesh patch to the affected area. A mesh is used with surgical staples. A few small incisions in the weakened, with the help of specialized video equipment and medical instruments are included in laparoscopic hernia repair. This method has its own advantages. Response time is greatly reduced perfectly. Having done a quick check of the hospital surgery, some of patients can leave the next day. Another advantage to be taken into account is less pain and scarring and a shorter recovery period.

Laparoscopic hernia repair is an effective treatment for hernia complications but can be unsafe when patients have other diseases. This type of treatment is recommended for people who have developed only hernia. For others, close monitoring is necessary. For example, some drugs before surgery are limited. In its category, aspirin, ibuprofen, Motrin or other anticoagulants are involved. Restrictions within 8 hours before surgery patients are restricted not eat anything.

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Laparoscopic incision hernia repair offers some advantages over open surgical repair, but did not succeed in reducing post-operative pain or improve other results. Note that the minimally invasive approach associated with a modest but statistically production in blood loss and the need to reduce significantly drain the blood injury.

Laparoscopic incision hernia healing gives many advantages over open surgical repair, but did not succeed in decreasing post-operative ache or improve other results according to a randomized study.

At 4 weeks follow-up, 25% of the laparoscopic group and 24% in the open group reported constant pain that requires long-term use of analgesics, written by Hasan.


Minimally invasive procedures are associated with a modest reduction in blood loss, or statistically significant (P = 0.05) and considerably reducing the need for wound drainage (P <0.001), which is the goal.

However, the operating time increased third of laparoscopic procedures and Perioperative complications occurred four times more frequently than open surgery, according to the authors. "Short-term benefits of laparoscopic repair of cut is consistent with prior studies - for example, Perioperative complications of operating time and length of hospital stay - might not be established," said by a Group.

The incisional hernia complicated as much as 30% of laparotomies, leading to a correction made through morbidity and dissatisfaction of patient. Despite improved surgical techniques and prosthetic materials in hernia repair, reported recurrence rates rank as high as 63%, according to the authors.

The adoption of laparoscopic surgery has been expanded to include repair of incisional hernia, and recent studies show that short-term results with minimally invasive versus open hernia surgery, compared to blood loss, perioperative complications and length of stay in the hospital, they said. However, few randomized trials comparing laparoscopic surgical hernia repair and open repair. Unresolved issues related to comparative effectiveness of surgical approach led the authors to conduct randomized clinical trial between 1999 and 2006.

Only experienced surgeons’ cut open repair of abdominal hernias participated in the study. They are registered and adults that had incisional hernias 3cm to 15cm in diameter, located in the ventral abdominal wall at least 5 cm rib and affected area. Surgeons participating follow standard procedures for laparoscopic and open surgical repair. The primary outcome was post-operative pain is assessed by visual analog scale (VAS) preoperatively and 3days, 1 week and 4 weeks after surgery. Secondary outcomes included the use of analgesics, peri- and postoperative complications, operative time, postoperative nausea, length of stay and recurrence.
Patients were followed up to five years. The authors reported data from 206 patients followed for an average of 35 months.
Pain results were not significantly different among the evaluated patients (P = 0.54). VAS scores for after surgery nausea did not different among sets.

The average time of 100 minutes in the laparoscopic surgical group compared to 76 minutes with open surgery (P <0.001). The authors suggested that extensive adhesions in the midline of the abdominal wall may have been a "major factor" in the operating time of laparoscopy. "Adhesiolysis is necessary to position the network, but also to watch another small pounds or Swiss cheese," "mistakes," they said, adding that 100 minutes is not excessive amount of time for this procedure.
Perioperative complications rate was 2% for open surgery and 10% with laparoscopic surgery (P = 0.049).

Estimated blood loss by an average of the 10 ml and 50 ml in the open laparoscopy group, unlike in the clinic by characterized as negligible. The weapon in the open surgery, 45% of patients who require drainage of wounds compared to 3% in laparoscopic group.

At an average follow-up of 35 months, recurrence rates of hernia was 14% with open surgery and 18% with laparoscopic surgery, nonsignificant difference (P = 0.30). Size hernia positively correlated with the risk of subsequent recurrence (P <0.001). Finally, the average length of hospital stay was about 3 days in both groups (P = 0.50).
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